The proposed Medicare billing codes for digital mental health treatment (DMHT) in the Physician Fee Schedule (PFS) for 2025 mark a significant step forward. For the first time, CMS has proposed reimbursable codes specific to digital therapeutic products through the physician services benefit.
To be covered, DMHT products must have FDA clearance, ensuring their efficacy and safety. The codes encompass several components, including device supply, initial education, and monthly treatment management services.